Severe monobacterial necrotizing soft tissue infection by group A Streptococcus: A surgical emergency
Eight percent of necrotizing soft tissue infections (NSTI) are attributable to group A Streptococci (GAS), and among these, 50% develop streptococcal toxic shock syndrome. The reported mortality associated with NSTI reaches 32%. We present cases of two healthy individuals with minor GAS skin infection which developed to a rapidly progressed NSTI and sepsis despite of the antibiotic treatment, aiming to discuss the lessons learned from the course and management of these patients.
Lanitis S, Khan MAA, Sgourakis G, Kontovounisios C, Papaconstandinou T, Karaliotas C. Severe monobacterial necrotizing soft tissue infection by group A Streptococcus: A surgical emergency. Asian Pac J Trop Biomed 2012; 2(3): 250-252.